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Health Care Reform

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The debate within the U.S. government about reforming the health care system centers on ways to control rising costs and assure high-quality, affordable care. RAND Health and its health care reform initiative—RAND COMPARE (Comprehensive Assessment of Reform Efforts)—provide objective research and analysis on topics that can inform the health care reform debate, including financing; increasing access, insurance coverage, and quality; decreasing costs; and promoting wellness and prevention.

Eliminating government subsidies for low- and moderate-income people who purchase coverage through federally run health insurance marketplaces would sharply boost costs and reduce enrollment in the individual market by more than 9.6 million.

Using the COMPARE microsimulation model, researchers estimated the effects of reduced enrollment of young adults (invincibles) in the individual health insurance market. Results indicate that reduced enrollment of invincibles is associated with only modest premium increases.

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Economic reasoning took center stage in the Supreme Court's decision on Thursday to uphold the legality of the Affordable Care Act's subsidies in all states. The subsidies are critical to ensuring that healthy people, with lower health care costs, have adequate incentive to enroll.

RAND Europe’s Joanna Chataway and University of London Professor John Camm discuss the pan-European Future of Anticoagulation Initiative, its goals with regard to treating atrial fibrillation, RAND Europe's research process, and the team’s findings and recommendations.

Insurance coverage has increased across all types of insurance since the major provisions of the federal Affordable Care Act took effect, with a net total of 16.9 million people becoming newly enrolled through February 2015.

Provides an overview of RAND's impact in the Middle East in the areas of supporting youth, health and health care, education, energy and environment, labor market reform and private-sector development, capacity-building, and planning for the future.

A substantial proportion of advanced imaging studies ordered by emergency physicians may be medically unnecessary. According to a broad survey of emergency medicine professionals, fear of missing a low-probability diagnosis and fear of litigation are perceived as two key contributing factors.

Subsidies in the ACA's health insurance exchanges help stabilize the insurance market by encouraging younger, healthier people to stay enrolled in the face of premium hikes. Critics of the current subsidies have proposed alternatives. What effects would these have?

The Affordable Care Act has officially been part of the U.S. health care landscape for five years. We reflect on the twists and turns that followed its passage and the RAND research that informed debates along the way, and look ahead to the future of the ACA.

Physician practices are engaging in new health care payment models intended to improve quality and reduce costs, but are finding that they need help with managing increasing amounts of data and figuring out how to respond to the diversity of programs and quality metrics from different payers.

Physician practices are engaging in new health care payment models intended to improve quality and reduce costs, but are finding that they need help with managing increasing amounts of data and figuring out how to respond to the diversity of programs and quality metrics from different payers.

The rapid economic growth of many Gulf Arab states has come with an increase of lifestyle-related diseases. This presents new challenges for health care systems, but Western models offer cautionary lessons that may help.

Using the COMPARE microsimulation model, researchers estimated the effects of reduced enrollment of young adults (invincibles) in the individual health insurance market. Results indicate that reduced enrollment of invincibles is associated with only modest premium increases.

In this February 2015 Congressional Briefing, Christine Eibner discusses the role of premium tax credits in ensuring stability in the individual health insurance marketplace and the ramifications of King v. Burwell on the Affordable Care Act.

When it comes to health policy, there are two basic approaches: (1) cautious and careful, or (2) disruptive and daring. The former is less threatening, but what might happen if decision makers were more driven by creativity and less concerned about regulations?

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Researcher Spotlight

Vice President, RAND Corporation

Jeffrey Wasserman is vice president and director of RAND Health. He currently leads the National Health Security Strategy project, sponsored by the U.S. Department of Health and Human Services, and earlier led projects related to public health entrepreneurship and the relationship between law…

Policy Researcher

Hao Yu is a policy researcher at the RAND Corporation and a professor at the Pardee RAND Graduate School. He has particular interest and experience in studying the Children's Health Insurance Program (CHIP) in the United States and health care reforms in China. Yu received his B.A. in medicine…

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